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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/20/2020 <br />Department <br />Nance Alke na Aldridge DCI <br />February 252020 February 20"' <br />wBPW Date Pevew� Phone Extension�WWu 5896 <br />_ _ ........... _._....._. <br />Review and A apj y<d RS( i:! d Prior to Submittal to Board mIT ..... <br />ITIT ....... <br />_..... <br />Diversity Compliance ® Officer Name Michael Patton/Aladean DeRose <br />and Inclusion Officer <br />BPW Attorney Attorney Name Clara McDaniel <br />Dept. Attorney Attorney Name Sandra Kennedy <br />Purchasing ® Amanda Pictsch <br />Check the Appropriate Item Type <br />Professional Services Agreement [:] Contract <br />❑ <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening E] Bid Award <br />Quote Opening E' Quote Award <br />Proposal Opening ❑ C/O & PCA No. <br />E] <br />Chg. Order, No. Traffic Control <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Information <br />All Submissions <br />LJ Proposal <br />El Special Purchase, QPA <br />Ej Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />El Ease./Encroach <br />❑ Title Sheet <br />Majora Carter Grout) (MCG)�_.... .... .........r........................................... <br />Yes[:] If Yes, Approved by Purchasing <br />® No <br />®MBE Completed E-Verify Form Attached ® No <br />WBE <br />Inclusive Eco.C...oe"ot�Y Developm...e.nt Technical Assistance <br />.... <br />n/a <br />Redevelopment General Pok. __w_........ _... .. <br />( agony <br />Support the Creation/Growth of Small Business <br />408-1004-460.39-30 <br />(not to exceed) <br />February <br />2, 020- December 31, 2020 ................ ..r_.r <br />Build capacity of mtncjrtt%wcommunity development entities to -complete <br />demonstration nroiects in low-statLIS. tareeted neighborhoods <br />Amount of <br />❑ <br />Increase ......�$............................�.�...�..mm........w <br />Decrease <br />Previous Amount <br />$ <br />_.............. <br />Increase <br />% <br />Current Percent of Change: <br />Decrease ( <br />% <br />New Amount <br />$ <br />Increase <br />Total Percent of Change: <br />Decrease ( <br />% <br />Time Extension Amount: <br />New Completion Date: <br />